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Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. | PSNet

psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause

September 01, 2012 - Study Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Citation Text: Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analys…

Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. | PSNet

psnet.ahrq.gov/issue/errors-and-discrepancies-administration-intravenous-infusions-mixed-methods-multihospital

July 10, 2019 - Study Emerging Classic Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. Citation Text: Lyons I, Furniss D, Blandford A, et al. Errors and discrepancies in the administration of intravenou…

Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis. | PSNet

psnet.ahrq.gov/issue/parent-experiences-process-sharing-inpatient-safety-concerns-children-medical-complexity

July 06, 2022 - Study Parent experiences with the process of sharing inpatient safety concerns for children with medical complexity: a qualitative analysis. Citation Text: Kieren MQ, Kelly MM, Garcia MA, et al. Parent experiences with the process of sharing inpatient safety concerns for children with me…

Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. | PSNet

psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening

March 09, 2022 - Study Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Citation Text: Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening …

Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. | PSNet

psnet.ahrq.gov/issue/exploring-stakeholder-perceptions-around-implementation-operating-room-black-box-patient

November 04, 2020 - Study Exploring stakeholder perceptions around implementation of the Operating Room Black Box for patient safety research: a qualitative study using the theoretical domains framework. Citation Text: Etherington N, Usama A, Patey AM, et al. Exploring stakeholder perceptions around impleme…

Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. | PSNet

psnet.ahrq.gov/issue/evaluating-impact-auto-calculation-settings-opioid-prescribing-academic-medical-center

January 23, 2020 - Study Evaluating the impact of auto-calculation settings on opioid prescribing at an academic medical center. Citation Text: Crothers G, Edwards DA, Ehrenfeld JM, et al. Evaluating the Impact of Auto-Calculation Settings on Opioid Prescribing at an Academic Medical Center. Jt Comm J Qual…

Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. | PSNet

psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada

June 17, 2020 - Study Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. Citation Text: Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…

How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. | PSNet

psnet.ahrq.gov/issue/how-improve-delivery-medication-alerts-within-computerized-physician-order-entry-systems

October 30, 2013 - Study How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study. Citation Text: Riedmann D, Jung M, Hackl WO, et al. How to improve the delivery of medication alerts within computerized physician order entry systems:…

A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. | PSNet

psnet.ahrq.gov/issue/systematic-review-strategies-reporting-neonatal-hospital-acquired-bloodstream-infections

January 09, 2018 - Review A systematic review of strategies for reporting of neonatal hospital–acquired bloodstream infections. Citation Text: Folgori L, Bielicki J, Sharland M. A systematic review of strategies for reporting of neonatal hospital-acquired bloodstream infections. Arch Dis Child Fetal Neon…

Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. | PSNet

psnet.ahrq.gov/issue/assigning-team-based-pager-call-physicians-reduces-paging-errors-large-academic-hospital

April 26, 2023 - Study Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Citation Text: Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf.…

Clinical reasoning in the context of active decision support during medication prescribing. | PSNet

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February 14, 2024 - Study Clinical reasoning in the context of active decision support during medication prescribing. Citation Text: Horsky J, Aarts J, Verheul L, et al. Clinical reasoning in the context of active decision support during medication prescribing. Int J Med Inform. 2017;97:1-11. doi:10.1016/j.…

Activation of a medical emergency team using an electronic medical recording–based screening system. | PSNet

psnet.ahrq.gov/issue/activation-medical-emergency-team-using-electronic-medical-recording-based-screening-system

September 06, 2017 - Study Activation of a medical emergency team using an electronic medical recording–based screening system. Citation Text: Huh JW, Lim C-M, Koh Y, et al. Activation of a medical emergency team using an electronic medical recording-based screening system*. Crit Care Med. 2014;42(4):801-8. …

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. | PSNet

psnet.ahrq.gov/issue/dropping-baton-qualitative-analysis-failures-during-transition-emergency-department-inpatient

September 26, 2012 - Study Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Citation Text: Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency departmen…

Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. | PSNet

psnet.ahrq.gov/issue/risks-implementation-and-use-smart-pumps-pediatric-intensive-care-unit-application-failure

March 09, 2022 - Study Risks in the implementation and use of smart pumps in a pediatric intensive care unit: application of the failure mode and effects analysis. Citation Text: Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of smart pumps in a pediat…

Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. | PSNet

psnet.ahrq.gov/issue/transcription-errors-blood-glucose-values-and-insulin-errors-intensive-care-unit-secondary

December 02, 2020 - Study Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. Citation Text: Sowan AK, Vera A, Malshe A, et al. Transcription Errors of Blood Glucose Values and Insuli…

Out-of-hospital medication errors: a 6-year analysis of the national poison data system. | PSNet

psnet.ahrq.gov/issue/out-hospital-medication-errors-6-year-analysis-national-poison-data-system

September 08, 2010 - Study Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Citation Text: Shah K, Barker KA. Out-of-hospital medication errors: a 6-year analysis of the national poison data system. Pharmacoepidemiol Drug Saf. 2009;18(11):1080-5. doi:10.1002/pds.1823…

A systematic review to evaluate the accuracy of electronic adverse drug event detection. | PSNet

psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection

October 05, 2011 - Study A systematic review to evaluate the accuracy of electronic adverse drug event detection. Citation Text: Forster AJ, Jennings A, Chow C, et al. A systematic review to evaluate the accuracy of electronic adverse drug event detection. J Am Med Inform Assoc. 2012;19(1):31-8. doi:10.113…

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. | PSNet

psnet.ahrq.gov/issue/evaluating-impact-radio-frequency-identification-retained-surgical-instruments-tracking

August 03, 2022 - Review Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. Citation Text: Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking…

The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. | PSNet

psnet.ahrq.gov/issue/wolf-crying-operating-room-patient-monitor-and-anesthesia-workstation-alarming-patterns

April 17, 2013 - Study The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery. Citation Text: Schmid F, Goepfert MS, Kuhnt D, et al. The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patte…

Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. | PSNet

psnet.ahrq.gov/issue/patients-perceptions-safety-if-interpersonal-continuity-care-were-be-disrupted

July 21, 2021 - Study Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Citation Text: Pandhi N, Schumacher J, Flynn KE, et al. Patients' perceptions of safety if interpersonal continuity of care were to be disrupted. Health Expect. 2008;11(4):400-8. doi:10.…

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